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About
- Burning Sage
- Our Therapists
Services
- Therapy Services in Colorado
- Therapeutic Services
More

About
- Burning Sage
- Our Therapists
Services
- Therapy Services in Colorado
- Therapeutic Services
More

Book a Consultation

Therapy Services in Colorado – Contact Us

Start Your Healing Journey

Call (719) 434-1383

Connect With Us

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Connect With Us

Have questions or ready to take the next step? Fill out the form below, and we’ll get back to you as soon as we can. We’re here to help!

First Name

Last Name

Email

Phone Number

Acknowledgment

Please acknowledge that electronic communications should not include personal health or confidential information.

Do you plan to use insurance for your therapy sessions?

Insurance Company

Insurance Member ID

Upload Insurance Card Photo

Choose File

Are you the insurance plan subscriber?

Yes

No

Do you have an additional (secondary) insurance plan?

Yes

No

Do you have a preferred therapist?

What kind of therapy are you interested in?

Which location or session format works best for you?

Colorado Springs Office

Telehealth (Virtual)

Which day of the week do you prefer for sessions?

Monday

Tuesday

Wednesday

Thursday

Friday

What time of day usually works best for you?

7 AM – 9 AM

9 AM – 11 AM

11 AM – 1 PM

1 PM – 3 PM

3 PM – 5 PM

Which areas would you most like to focus on in therapy?

Anxiety and panic

Depression or mood changes

Trauma or PTSD

Relationship and family issues

Self-esteem or identity concerns (including LGBTQIA+)

Work or career stress

Life transitions or adjustment challenges

Grief and loss

Anger or frustration management

Perfectionism or overthinking

Boundaries and communication

Stress related to parenting

Burnout or emotional exhaustion

Body image or eating concerns

Difficulty sleeping or relaxing

Motivation or procrastination struggles

Social anxiety or fear of judgment

Coping after a breakup or major change

Feeling stuck or disconnected

Other

Have you ever been given a mental health diagnosis before?

Please explain

Have you been hospitalized for mental health reasons in the past six months?

Yes

No

Please provide details about hospitalization

Gender listed on your insurance

Male

Female

Date of Birth

How did you find out about us?

Additional information

Colorado Springs

3505 Austin Bluffs Parkway Suite 201
Colorado Springs, CO 80918

sairy@burningsagetherapy.com

(719) 434-1383

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Burning Sage
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About
Burning Sage
Our Therapists
Blog
FAQs
Insurance & Fees

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Therapy Services

All Therapy Services
Individual Therapy
Couples Therapy
Child Therapy
Family Therapy
Group Therapy
Therapy for First Responders
LGBTQIA & 2STNB Therapy

All Therapy Services
Individual Therapy
Couples Therapy
Child Therapy
Family Therapy
Group Therapy
Therapy for First Responders
LGBTQIA & 2STNB Therapy

TherapeutIc Services

All Therapeutic Services
Groups
ESA
Workshops

All Therapeutic Services
Groups
ESA
Workshops

3505 Austin Bluffs Parkway Suite 201
Colorado Springs, CO 80918

sairy@burningsagetherapy.com

(719) 434-1383

Our Therapists

All Therapists
Katrina Robinson
Sara Mann
Celeste Pacleb
Tabitha Mewborn
Derek Scullin
Katherine Roberts

All Therapists
Katrina Robinson
Sara Mann
Celeste Pacleb
Tabitha Mewborn
Derek Scullin
Katherine Roberts

More

Insurance & Fees

Book a Consultation

Services

Therapy Services

All Therapy Services
Individual Therapy
Couples Therapy
Child Therapy
Family Therapy
Group Therapy
Therapy for First Responders
LGBTQIA & 2STNB Therapy

All Therapy Services
Individual Therapy
Couples Therapy
Child Therapy
Family Therapy
Group Therapy
Therapy for First Responders
LGBTQIA & 2STNB Therapy

Therapeutic Services

All Therapeutic Services
Groups
ESA
Workshops

All Therapeutic Services
Groups
ESA
Workshops

More

Insurance & Fees

Book a Consultation